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For Pless et al. This paper presents a case study of a fifteen year old boy living in the streets, who was admitted to the teen ward of a municipal hospital in Rio de Janeiro, in order to investigate his clinical status of widespread pain and high fever every day. casua

LA CAUSA DE LOS ADOLESCENTES – FRANCOISE DOLTO.pdf

Although everything was explained to this adolescent, he did not feel comfortable with the idea. However, a deadlock occurred: Framework for identifying children who have chronic conditions – the case for a new definition.

Like most adolescents, he attempted to join peer groups, where he was probably under pressure in order to be accepted, seeking an identity and encountering crack.

He was facing a new situation in loss life.

Wary and nervous, yes, but he never demonstrated any aggressive attitudes. This is consequently a chronic disease that may enter into remission with treatment, particularly in patients presenting good responses to drugs soon after treatment begins. During his hospitalization, the patient reported that he was very scared of drugs because of the pains he felt in his body when their effect faded away.

It is natural that chronic conditions in themselves perpetuate a general feeling of insecurity in patients, particularly when a causw imposes physical, cognitive, social or other constraints at some point in life, undermining the patient’s self-esteem even more. The clinical diagnosis had been defined. Chronic disease is slotted into a context whose complexity varies, with periods of relative tranquillity alternating with periods during which the clinical situation worsens, resulting in generally lengthy hospitalizations as required to return to an even balance.

Even the term ‘chronic disease’ is not unanimously accepted as appropriate – some authors feel that the phrase ‘chronic condition’ is more appropriate. As he dooto medical care, he was referred to a front-line clinic State Civil Defense and Health Bureauwhere he was diagnosed with possible pneumonia, treated with IV antibiotics for three days lx transferred to our unit, characterized as a ‘street dweller and crack user’.

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Juvenile Idiopathic Arthritis may progress through peaks or present as a single outbreak in the course of the patient’s lifetime. We believe that the life of this adolescent was saved to a great extent by the strong and affectionate links that he built up with the professionals working at the Halfway House, established before he was admitted to hospital and proven by the presence and commitment of these professionals to him and to ourselves throughout the entire process, all intended to seek the best possible outcome for his case, which was discussed at a interdisciplinary war meeting, as well as on other occasions with the Halfway House lq and adolescentez patient himself.

He dropped out of school, which is a place of the utmost importance for healthy development, as this is a place that simulates life on a smaller scale, with rules and limits. If we adapt these concepts related to chronic disease to the adolescent universe, the contextual complexity will certainly increase significantly. Adolescence, chronic disease, reception, negligence, psychic suffering, interdisciplinarity, juvenile idiopathic arthritis. His blanket and position when lying down recall a cocoon.

The relatively long time between his admission to hospital and his diagnosis allowed links of trust to build up between the patient and the team. Alone due to negligence, he wandered through the streets with no purpose or constraints. A year-old adolescent in the teen ward at a public hospital in Rio de Janeiro diagnosed with idiopathic juvenile arthritis.

When its impacts are severe, changes are required in the habits and routines of the patient and his family.

La Causa de Los Adolescentes

We also stress the specific characteristics of our patient who, due to a lengthy hospitalization period in our unit, built up relationships of mutual trust with all the practitioners, paving the way for him to take the first step towards redeeming his own identity. He seemed to want to adoleacentes himself as he did in the street.

We describe his routine from hospitalization through to diagnosis and the impact caused by this new status on his life and those of the practitioners in the various specialties monitoring him throughout this entire period. Chronic illness in childhood: As he had been admitted with no companion, we were unaware of his exact clinical status: There is a possibility of controlling it in the course of the patient’s lifetime, with asymptomatic periods or not. We believe that the fact that the patient had been legally removed from the custody of his biological family – even before admission – streamlined the development of his progress, allowing social safety nets to interact with greater fluidity.

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Social Worker, Piedade Municipal Hospital.

Françoise Dolto – la causa de los adolescentes | Nahúm Ruiz –

The J Pediatr ; 3: CASE STUDY C is a teenage boy, 15 years old, who lived with his mother and seven siblings in a ramshackle and unhealthy home, reflecting the extreme poverty of the family. If we open a chrysalis, we find only water He was not accustomed to receiving attention and to have people looking at adolescentrs in a situation of care rather that threat.

There is no consensus in the literature on this concept. This comparison is valid insofar as newborns die for something in order to be reborn into something else, including adolescents, who leave their dying childhood behind.

Despite possible correction or compensation, negative impacts on the social contexts of adolescrntes remain severe. With the results of the laboratory examinations leukocytosis with left deviation, evidence of very high inflammatory activities and chronic anemia and having dismissed other diagnoses tuberculosis, leukosis, bacterial endocarditis and other infectionsthe conclusion was reached that this was the case of juvenile idiopathic arthritis JIA in its systemic form Still’s disease.

Pediatrics ; 58 1: We stress the extreme importance of a multidisciplinary approach for resolving this case, ratifying the need to ensure more specific institutional support programs that are attuned to the needs of this group of patients. He said that the pain was unbearable. Multidisciplinary analysis of a patient with a chronic disease: Cadernos sobre o mal: Potentially disabling, they have long term effects on psychological, physiological and anatomical functions, with extremely limited chances of responding to curative treatment.

Last modified: April 20, 2020